Towards Inhaled Phage Therapy in Western Europe

The emergence of multidrug-resistant bacteria constitutes a great challenge for modern medicine, recognized by leading medical experts and politicians worldwide. Rediscovery and implementation of bacteriophage therapy by Western medicine might be one solution to the problem of increasing antibiotic...

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Main Authors: Sandra-Maria Wienhold, Jasmin Lienau, Martin Witzenrath
Format: Article
Language:English
Published: MDPI AG 2019-03-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/11/3/295
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author Sandra-Maria Wienhold
Jasmin Lienau
Martin Witzenrath
author_facet Sandra-Maria Wienhold
Jasmin Lienau
Martin Witzenrath
author_sort Sandra-Maria Wienhold
collection DOAJ
description The emergence of multidrug-resistant bacteria constitutes a great challenge for modern medicine, recognized by leading medical experts and politicians worldwide. Rediscovery and implementation of bacteriophage therapy by Western medicine might be one solution to the problem of increasing antibiotic failure. In some Eastern European countries phage therapy is used for treating infectious diseases. However, while the European Medicines Agency (EMA) advised that the development of bacteriophage-based therapies should be expedited due to its significant potential, EMA emphasized that phages cannot be recommended for approval before efficacy and safety have been proven by appropriately designed preclinical and clinical trials. More evidence-based data is required, particularly in the areas of pharmacokinetics, repeat applications, immunological reactions to the application of phages as well as the interactions and effects on bacterial biofilms and organ-specific environments. In this brief review we summarize advantages and disadvantages of phage therapy and discuss challenges to the establishment of phage therapy as approved treatment for multidrug-resistant bacteria.
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spelling doaj.art-e7d50bdc15224eaeab502135e2ad38502022-12-22T00:40:30ZengMDPI AGViruses1999-49152019-03-0111329510.3390/v11030295v11030295Towards Inhaled Phage Therapy in Western EuropeSandra-Maria Wienhold0Jasmin Lienau1Martin Witzenrath2Division of Pulmonary Inflammation, Charité–Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, GermanyDivision of Pulmonary Inflammation, Charité–Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, GermanyDivision of Pulmonary Inflammation, Charité–Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, GermanyThe emergence of multidrug-resistant bacteria constitutes a great challenge for modern medicine, recognized by leading medical experts and politicians worldwide. Rediscovery and implementation of bacteriophage therapy by Western medicine might be one solution to the problem of increasing antibiotic failure. In some Eastern European countries phage therapy is used for treating infectious diseases. However, while the European Medicines Agency (EMA) advised that the development of bacteriophage-based therapies should be expedited due to its significant potential, EMA emphasized that phages cannot be recommended for approval before efficacy and safety have been proven by appropriately designed preclinical and clinical trials. More evidence-based data is required, particularly in the areas of pharmacokinetics, repeat applications, immunological reactions to the application of phages as well as the interactions and effects on bacterial biofilms and organ-specific environments. In this brief review we summarize advantages and disadvantages of phage therapy and discuss challenges to the establishment of phage therapy as approved treatment for multidrug-resistant bacteria.https://www.mdpi.com/1999-4915/11/3/295bacteriophagephage therapymultidrug-resistant bacteriaantimicrobial resistance
spellingShingle Sandra-Maria Wienhold
Jasmin Lienau
Martin Witzenrath
Towards Inhaled Phage Therapy in Western Europe
Viruses
bacteriophage
phage therapy
multidrug-resistant bacteria
antimicrobial resistance
title Towards Inhaled Phage Therapy in Western Europe
title_full Towards Inhaled Phage Therapy in Western Europe
title_fullStr Towards Inhaled Phage Therapy in Western Europe
title_full_unstemmed Towards Inhaled Phage Therapy in Western Europe
title_short Towards Inhaled Phage Therapy in Western Europe
title_sort towards inhaled phage therapy in western europe
topic bacteriophage
phage therapy
multidrug-resistant bacteria
antimicrobial resistance
url https://www.mdpi.com/1999-4915/11/3/295
work_keys_str_mv AT sandramariawienhold towardsinhaledphagetherapyinwesterneurope
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AT martinwitzenrath towardsinhaledphagetherapyinwesterneurope